浙江省儿童和青少年夜遗尿情况调查分析  

作　　者：李东燕[1] 

机构地区：[1]浙江大学医学院附属儿童医院,310010

出　　处：《浙江临床医学》2021年第7期1009-1010,1014,共3页Zhejiang Clinical Medical Journal

摘　　要：目的了解浙江省5~18岁儿童及青少年夜遗尿患病率、发生因素及对患儿家庭的影响。方法采用分层、整群随机抽样方法,在浙江省分别抽取幼儿园(大班)、小学、初中、高中10所学校,年龄5〜18岁儿童及青少年,问卷采用微信版进行调查。结果回收合格卷5387份,应答率98.93%,总患病率为4.83%,其中男性患病率为5.69%;女性患病率为3.90%;患病患儿中,生活由父母照顾的儿童或青少年患病率为4.79%,由祖父母或外祖父母照顾的儿童或青少年患病率为4.36%,由保姆或其他照顾的患病率为8.97%。患儿照顾者文化程度越低,患病率相对越低,文化程度越高,其患病率相对较高,差异有统计学意义(χ^(2)=19.7211,15<0.05);患儿有生活烦恼者占44.23%,对睡眠有影响者占45.38%,对其在校表现或成绩有影响者占46.92%;父母有生活烦恼者占47.86%,对睡眠有影响者占51.54%.结论浙江省地区夜遗尿症总体患病率为4.83%,男孩患病率高于女孩,伴随年龄增大,患病率呈下降趋势;夜遗尿存在对患儿及其父母的生活质量均可造成消极影响;照顾者文化程度、疾病及生活习惯对遗尿症的发病率有显著影响,但就诊率较低。Objective To investigate the prevalence rate and causes of nocturnal enuresis in 5-18 years old children and adolescents in Zhejiang Province,the influence of nocturnal enuresis on children and their families.Methods Using the method of stratification and cluster random sampling,children and adolescents aged 5-18 years in Zhejiang Province were randomly selected from 10 schools including senior high schools,junior high schools,primary schools and Kindergartens(senior grade)as the survey points.Use the WeChat platform for investigation.Results 5387 qualified volumes were recovered,the response rate was 98.93%,and the total prevalence rate was 4.83%,among which the prevalence rate of male was 5.69%;the prevalence rate of female was 3.90%;the influence of family history,caregiver and caregiver's educational level on the children with nocturnal enuresis:among the children with nocturnal enuresis,the prevalence rate of children or adolescents who live in the care of their parents was 4.79%,that of children or adolescents who live in the care of their grandparents was 4.36%,and that of children or adolescents who were in the care of their nannies or other care was 8.97%;the statistics of caregiver's degree showed that:Patients with nocturnal enuresis The lower the education level,the lower the prevalence and the higher the education level,the higher the prevalence,the difference was the statistics of caregiver's degree shows that:Patients with nocturnal enuresis The lower the education level,the lower the prevalence and the higher the education level,the higher the prevalence,the difference was statistically significant(x 2=19.7211,P<0.05)the influence of nocturnal enuresis on children:the influence on daily life was 44.23%,the influence on sleep was 51.54%,the influence on school performance or achievement was 46.92%;the influence of nocturnal enuresis on parents:the influence on daily life was 47.86%,the influence on sleep was 51.54%.Conclusion The overaU prevalence rate of enuresis in Zhejiang Province is 4.83%.The

关 键 词：儿童 青少年 夜遗尿 浙江省 

分 类 号：R72[医药卫生—儿科]